CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. Our podcasts are found on this channel and include: CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. ClerkCast: A podcast focused on clinical clerks and their time in emergency medicine. It provides an overview of key topics that help you to rock your EM rotations. First Year Diaries: A podcast focused on the first year of independent clinical practice in emergency medicine and all of its trials and tribulations. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone.
http://canadiem.org/
CRACKCast E046 - Abdominal Trauma
This episode covers chapter 46 of Rosen's Emergency Medicine text book.
Episode Overview:
1) What are three mechanisms of injury in blunt trauma?
2) List expected seat-belt injuries
3) What are the most common intra-abdominal injuries in children?
4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages.
5) List intra-abdominal injuries that may be missed on CT.
6) Describe the process of local wound exploration.
- List 5 ways to determine if peritoneum has been violated
7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma
8) Describe the management of unstable blunt abdominal trauma
- Pelvic fracture
- Head injury (closed head injury)
- Wide mediastinum (aortic injury)
9) Provide an approach to anterior abdominal trauma with:
- Evidence of peritoneal violation (penetrating injuries)
- Evidence of intra-abdominal injury with blunt abdominal trauma
10) Provide an approach to flank injuries
11) Provide an approach to back injuries
Wisecracks:
1) Describe indications and technique of diagnostic peritoneal lavage (DPL). What is a positive DPL?
2) List 1 absolute contraindication and 4 relative contraindications to DPL
3) What is Waddel’s triad?
4) What are Gray-Turner and Cullen’s signs?
5) How much blood is detectable by bedside US?